| NPI | 1548482201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |